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Conjunctivitis – Allergic (P)
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1. What is the most common symptom of allergic conjunctivitis?
*
Eye pain
Photophobia
Itching
Purulent discharge
2. Which type of discharge is typical in allergic conjunctivitis?
*
Serous
Purulent
Mucopurulent
Bloody
3. Which feature best distinguishes allergic conjunctivitis from infective types?
*
Redness
Tearing
Itching
Swelling
4. Which type of hypersensitivity reaction is allergic conjunctivitis?
*
Type I (IgE-mediated)
Type II (cytotoxic)
Type III (immune complex)
Type IV (delayed)
5. What seasonal condition is a common trigger for allergic conjunctivitis?
*
Cold weather
Pollution
Pollen exposure
Low humidity
6. What is the typical bilateral presentation in allergic conjunctivitis?
*
One eye red, one normal
Both eyes red, itchy and watery
Both eyes painful and purulent
Vision loss in both eyes
7. What first-line treatment is used for allergic conjunctivitis?
*
Topical antibiotics
Lubricating eye drops
Steroid injections
Topical antihistamines
8. What is a commonly used topical mast cell stabiliser?
*
Chloramphenicol
Olopatadine
Ofloxacin
Hydrocortisone
9. What associated atopic condition is often present in allergic conjunctivitis?
*
Asthma
Urticaria
Psoriasis
Diabetes
10. When should referral to ophthalmology be considered in allergic conjunctivitis?
*
Any bilateral case
Severe symptoms unresponsive to treatment
Presence of clear watery discharge
History of hay fever
11. Which sign would suggest an alternative diagnosis like bacterial conjunctivitis?
*
Itching
Mild discharge
Tearing
Purulent discharge
12. Which of the following environmental changes may reduce allergic conjunctivitis symptoms?
*
Using air purifiers
Increasing humidity with steam
Direct fan exposure
Opening windows during high pollen count
13. Which systemic treatment may help in moderate allergic conjunctivitis?
*
Oral antibiotics
Oral antihistamines
IV fluids
Corticosteroid eye drops
14. What is vernal keratoconjunctivitis?
*
A bacterial eye infection
A chronic and severe allergic conjunctivitis often in children
A fungal eye infection
A common cold virus complication
15. Which sign is more typical in seasonal than perennial allergic conjunctivitis?
*
Chronic symptoms year-round
Exacerbations during specific times of the year
Permanent red eyes
Corneal ulceration
16. How does allergic conjunctivitis typically affect vision?
*
Usually does not affect vision
Severely blurs vision
Causes permanent loss
Leads to night blindness
17. Which of these is NOT a common allergen in allergic conjunctivitis?
*
Pollen
Dust mites
Animal dander
Antibiotics
18. What is a potential complication of prolonged topical steroid use in allergic eye conditions?
*
Glaucoma
Increased itching
Mild redness
Better visual acuity
19. What supportive measure is often advised for mild allergic conjunctivitis?
*
Warm compress
Cold compress
Eye bandage
Eye patch
20. Which symptom is LEAST associated with allergic conjunctivitis?
*
Purulent discharge
Itching
Photophobia
Grittiness